Individual provider · Type 1 NPI

Marissa Novotny, PhD, BCBA-D, LBA

Behavior Analyst · Bloomington, MN

NPI number 1629489786 Active

Practice location

1801 American Blvd E
Bloomington, MN 55425-1232

Call (952) 767-2267 Map

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000XNone listed

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1629489786

Marissa Novotny, PhD, BCBA-D, LBA's National Provider Identifier is 1629489786, issued on May 12, 2014. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Bloomington, MN. The record was last updated on Sep 29, 2026.